There will be no doc fix until at least mid-April. The Senate adjourned for spring break on Friday morning without taking up legislation to permanently repeal Medicare's sustainable growth-rate formula for paying doctors.
Laboratories that waive some patients' fees as part of agreements with physician practices risk running afoul of the federal anti-kickback statute, HHS' Office of Inspector General said in an advisory opinion released Wednesday.
The overwhelming and bipartisan vote in the House to permanently repeal Medicare's sustainable growth-rate formula puts pressure on the Senate to act before adjourning Friday. But it's not certain that they will given the narrow window.
The U.S. House Thursday voted overwhelmingly in favor of scrapping Medicare's sustainable growth-rate formula, passing a permanent doc fix 392-37. House Minority Leader Nancy Pelosi called the bill “transformative in how it rewards the value, not the volume.”
The House bill that would repeal Medicare's sustainable-growth rate formula for paying physicians would also keep alive a popular graduate medical education program for at least two more years.
Hospitals in Maryland are seeing impressive gains in reducing readmission rates and preventing patient harms, according to a report released Wednesday by the state's hospital association.
The doc-fix deal would increase the deficit by $141 billion compared with current law over the next decade, according to the Congressional Budget Office. But spending would be $900 million less over that same period than if Congress simply froze Medicare payment rates for physicians.
If Congress passes a permanent fix for Medicare's sustainable growth-rate formula this week, its replacement would be a two-tiered payment system that rewards adoption of new payment models.
President Barack Obama on Wednesday remained upbeat and defiant against Affordable Care Act naysayers during a White House event to celebrate the controversial law's fifth birthday.
Dignity Health, Rite Aid and Cigna are among the healthcare heavyweights that have joined an HHS network convened to help the CMS tie 30% of Medicare payments to alternative payment models by the end of 2016.
President Barack Obama says he's ready to sign good bipartisan legislation to fix Medicare's doctor payment problem, without endorsing any specific legislation.
The Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) has expressed little confidence in genetic tests that supposedly predict common cancers. The decision raises doubts about whether the CMS will authorize Medicare coverage for such tests.